MENISCAL CYSTS - DETECTION WITH HIGH-RESOLUTION SONOGRAPHY

OBJECTIVE. The purpose of this study was to determine the feasibility of high-resolution sonography for the detection of meniscal cysts and associated meniscal tears and for the differentiation of meniscal cyst s from other masses at the knee joint. SUBJECTS AND METHODS. Fifty con secutive patients (51 knees) with a palpable mass at the knee joint we re examined prospectively using a 7.5-MHz annular array transducer. Ma ss consistency and location and meniscal integrity were evaluated. Son ographic findings were correlated with surgery (46/51) and histopathol ogy (15/51). Five patients did not undergo surgery. RESULTS. At surger y, 32 masses appeared to be meniscal cysts, whereas 19 were other type s of masses. Sonographically, 31 of the 32 meniscal cysts were diagnos ed correctly. Sonographic differentiation of the other types of masses from meniscal cysts could reliably be made in 17 of 19 cases; two mas ses were falsely interpreted as meniscal cysts. Sensitivity, specifici ty, and accuracy of sonography in the depiction of meniscal cysts were 97%, 86%, and 94%, respectively. The positive predictive value was 94 % and the negative predictive value was 92%. Meniscal tears (31/46) an d meniscal tears concomitant with meniscal cysts (26/32) were detected with an accuracy of 83% and 88%, respectively. CONCLUSION. Sonography is an accurate imaging technique for the detection of meniscal cysts and associated meniscal tears. Differentiation of meniscal cysts from other cystic and solid masses at the knee joint can be reliably made w ith sonography.